Kelly Dyckman
NPI #1255985180 in Morganville, New Jersey
Provider Information
- NPI Number
- 1255985180
- Entity Type
- Individual
- Name
- Kelly Dyckman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 29, 2019
- Last Updated
- Jul 29, 2019
Practice Location
- Address
- 705 GINESI DR
- City
- Morganville
- State
- New Jersey
- ZIP Code
- 07751-1235
- Phone
- (732) 993-7261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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